"Contract Details Sap Hosting"
Cheshire Health and Social Care Single Assessment Process Agenda The Single Assessment Process The Cheshire Project Alan Allman Timescales Cheshire eSAP Why Choose MDS? Programme Manager Documentation Information Sharing SAP Groups Project Team CSAP and Strategy CSAP Concepts Training Achievements Questions, Costs and Demo The Single Assessment process Published by the Department of Health in February 2001 Made reference to the need to move towards more integrated, “person centred” care in the NHS and Social Care Recommended that a single joint assessment process with agreed high standards would assist this Authorities ratings are impacted by the effectiveness of their care, implementation of the Single Assessment Process has an impact on that effectiveness NOT the Single Assessment Process... The Cheshire Project Cheshire locality: two years of work to investigate best tools & solutions, agreed on the use of an electronic MDS-HC assessment protocol to support the Single Assessment Process across all Cheshire agencies. MDS-HC is one of a small number of protocols accredited by the Department of Health Contract awarded to IBM to deliver an electronic version of Single Assessment Process Contract signature – June 2005 Enterprise Award – University of Kent: Runner-up, best Collaboration Go-live - 31 February 2006 Timescales and Events 2002 – 2003 Evaluation of Tools (Paper / Electronic) 2003 Decision to use MDS 2003 Agreement by PCT’s and Social Services to purchase an electronic version of MDS 2004 SHA Approval 2004 Setup of multi agency SAP Board 2004 ITT and Selection 2005 (June) Contract signed 2005 Development and agreements 2006 Go live Why did we choose MDS? Assessments at ALL required levels: Contact, Overview, Specialist, Comprehensive. Research validated scales, and quality indicators, are used to inform clinical practice and outcome monitoring. Also may be aggregated for service monitoring and planning. Links between assessment and further action, including best practice in care planning. Background to MDS Assessment Work began in 1993 on v1 Complementary tools for care homes & community care International Involvement 19 different countries Support in UK through Centre for Health Services Studies University of Kent at Canterbury Revised UK version for SAP published October 2003 Assessment components Identification Communication/ Health Conditions and Information hearing Preventative Health Patterns Measures Personal Details Vision Patterns Nutrition/hydration Referral Items Mood and status Background Behaviour Dental Status (oral Assessment Patterns health) Information – eg Social Skin Condition functioning Carer/Objectives/G Environmental Informal Assessment oals Support Services Service Utilisation Cognitive Patterns Physical Medication Physical Triggered Client Functioning Functioning Assessment Protocols Continence Assessor (CAPS) Disease Information Diagnosis Other Carer Information Contact Overview Comprehensive Documents Memorandum of Technical Understanding Architecture Roles and Security Strategy Responsibilities Risk Log Information Sharing Issue Log Agreement Test Strategy Caldicott Agreement Requirements Training Strategy Specification Implementation Strategy Import/Export Strategy The Information Sharing Toolkit (IST) Tier 1: Framework Document (Strategic) • Tier 2: Information Sharing Arrangement (Operational) • Tier 3: Operational Instruction (Practitioner) • Tier 4: Privacy, Confidentiality & Consent (Service User) This structure is designed to ensure that each element involved in the gathering and sharing of personal identifiable information is properly considered; it is not hierarchical. All underpinned by a Caldicott Agreement SAP Groups PCT Boards Elected Members Cluster Expert Ref Group Strategic Health ICT Board ADSS IMG SAP Board PCT/Acute IMT Boards Cheshire & Merseyside SAP SAP Leads Group County IT Strategy Group Group SAP Project Team SAP Project Team Alan Allman – SAP Health and Social Care Programme Manager Hazel Wright – SAP Consultant Alan Wright - Cheshire SAP Project Manager Lesley Bull – East Cheshire Project Lead (NHS) Chris Douglas – Central Cheshire Project Lead (NHS) Kate Bebe – West Cheshire Project Lead (NHS) Each Organisation Provides One ICT Lead Contact Priority Other Projects Partnership Developer Organisational Business Timescales Alan Allman Need Requirement Capital Funding Process Revenue Organisational Costs Single Process Agreements Funding Security Client Standards Benefit MoU Organisational Political What Caldicott Policy can we Protocols Terminology Roles and stop Statutory Reporting Responsibilities doing Organisational Other systems Support Data Sharing Reqmts Framework Operations Spec Security Governance Competing Strategy Demands Organistnl Benefit Multi Organisational Agency Implementation Pressures Board Planning Human IT Boards Finance Organisational Project Plan Test Strategy Resources Equipment Resource Training Plan Interfaces Training Data P Evaluation Plan Infrastructure Steady Help Desk Support State Implement Plan Training End Old Contingency Expert Processes Users Review The CSAP system will link together 1 Local Authority and 8 NHS Trusts Used in: Acute Hospitals, Community Hospitals, GP Surgeries, Patient Homes via Mobile Devices, Social Services Departments, Clinics System Administrator Read Only Users Assessors Manage Relationships View Audit log Notifications Register / Logon / Read only functions +… Maintain Data Integrity Self-care Perform Assessments Approve Registrations Search Handle Delayed Discharge Electronic Single Existing Demographics Assessment Health and Systems Process Social Care System Application NPfIT Spine PDS Or Exeter Notifications IBM is providing a fully managed service NHSne Council Health Workers t / N3 Intranet Social Care Workers Other e.g. Housing, Voluntary Internet Mobile Working Existing Health Scope of IBM Supply and Social Care Applications Esprit ShareCare Existing Cheshire service Second Level VPN Demographics Helpdesk Systems eSAP MDS NPfIT Spine PDS Or Exeter Third Level Support IBM eBusiness Hosting Warwick SAP: A process-orientated solution to support a virtual multi-agency Health & Social Care Community Key Requirements: Adult Care • Simple & easy to use assessment tool for & Professionals Health SAP Social • Strong Data Security & Care • Caldicott Compliance Children’s Care & • Ability to Interface NPfIT effectively & ESCR • Availability & Resilience ICS • Best Value Health & Social Care Community SAP Concepts Assessment Episode A group of Assessments for a person (Items) currently open Assessment Item The type of Assessments open (Overview / Specialists etc) Assessment Action Actions assigned for professionals to undertake SAP Concepts Assessment Item (eg Specialist) Assessment Action (Section G) Assessment Episode Assessment Assessment Action (Section H) Item (eg Overview) Assessment Action (Section A,B,C Etc) Assessment Completed Training – Face to Face & CBT 40 Expert Users across Health and Social Care, DP Experts, IT Trainers Cascade Training Data Protection Training Basic IT Training MDS Protocol Training CBT Course All users have access Q&A throughout the course Computer-based Training (CBT) – a key differentiator Product specifically designed for the UK Context of SAP, UK consent practice fully covered Designed as a CBT: Addresses standards from TOPPs, uses SCORM, eGIF etc High quality presentation engages users Integrated Q&A with additional info retains users’ attention Management get progress statistics (accessible via reporting tool) Introducing one of the domains… Navigation to other domains Achievements Single Agreement across Delivered to Health and Social Care Budget Defined Roles and Only a 3 Week Responsibilities Delay in Delivery Joint Information Lead Cluster SAP Sharing Agreement Process Group Caldicott Agreement Do Once and Joint Programme Board Share Core Group Multi Agency Training 34 Organisation interested Questions & Demo How Much? Application, License, CBT Course, 40 Expert Users Trained, Hosting Setup, Hosting and Support Services for 3 Years = £793,000 Staffing Costs Project Staff for SAP Across Health & Social Care = £250,000 year 1 - £200,000 years 2 & 3